Kevin Weaver Jr, MD is a medicare enrolled "Pediatrics" physician in Little Rock Air Force Base, Arkansas. His current practice location is
1090 Arnold Dr, Little Rock Air Force Base, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(501) 987-3080.
Kevin Weaver Jr is licensed to practice in Arkansas (license number E-12260) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225492929.
Physician's Profile
Full Name | Kevin Weaver Jr |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 1090 Arnold Dr, Little Rock Air Force Base, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1225492929
- Provider Enumeration Date: 04/08/2016
- Last Update Date: 07/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 5799077889
- Enrollment ID: I20190712001020
Medical Identifiers
Medical identifiers for Kevin Weaver Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225492929 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | E-12260 (Arkansas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kevin Weaver Jr allows following entities to bill medicare on his behalf.
Entity Name | University Of Arkansas For Medical Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346230968 PECOS PAC ID: 4082528955 Enrollment ID: O20040115000431 |
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Entity Name | Arkansas Childrens Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598773079 PECOS PAC ID: 2769477744 Enrollment ID: O20040419000796 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin Weaver Jr is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kevin Weaver Jr, MD 1090 Arnold Dr, Little Rock Air Force Base, AR 72099-4933 Ph: (501) 987-3080 | Kevin Weaver Jr, MD 1090 Arnold Dr, Little Rock Air Force Base, AR 72099-4933 Ph: (501) 987-3080 |
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